KERRY WICKMAN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1104680156

Practice Address

850 E 300 S STE 1
Salt Lake City, UT 84102

Phone: (385) 429-9808

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 9515461-3501 (UT)

Frequently Asked Questions

NPI 1104680156 is the National Provider Identifier for KERRY WICKMAN, LCSW, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on February 9, 2024.
KERRY WICKMAN, LCSW practices at 850 E 300 S STE 1, Salt Lake City, UT 84102.

Quick Facts

NPI
1104680156
Type
Individual
Enumerated
Feb 9, 2024
Last Updated
Feb 9, 2024

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